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308 Establishing the talent cultivation strategies for decision coach competency based on multi-criteria network structure model
  1. Shan-Fu Yu1,2,3,
  2. Yi-Chun Lin4,
  3. Wan-Lan Tang4,
  4. Chiu-Ya Kuo5,
  5. Chuan-Fang Li4,
  6. Pao-Jen Kuo6
  1. 1Division of Rheumatology, Allergy, and Immunology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan
  2. 2Division of Rheumatology, Allergy, and Immunology, Department of Internal Medicine, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan
  3. 3Graduate Institute of Adult Education, National Kaohsiung Normal University, Kaohsiung, Taiwan
  4. 4Department of Nursing, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan
  5. 5Department of Nursing, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan
  6. 6Division of Plastic and Reconstructive Surgery, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan


Introduction Shared decision-making (SDM) is a new patient-centered healthcare model. Decision coaches should have sufficient professionalism and can precisely guide patients to participate in the SDM process. Education and training for decision coaches will become increasingly important. However, healthcare providers at different levels of hospitals (medical center versus regional hospital) may have different perspectives on the decision-coach process. This study explores competencies of decision coaches and uses it as a reference for future decision coach training.

Methods Through literature review and expert consultation, competencies of decision coaches were constructed into four criteria and sixteen aspects. We use PAA (Performance Accessibility Analysis) analysis to evaluate the status of competency development criteria/aspects for different stakeholders and assemble an NRM (Network Relationship Map) based on DEMATEL (Decision-Making Trial and Evaluation Laboratory) technology. We integrate the PAA-NRM approach to set acceptance strategies and common suitable paths among healthcare providers at different hospital levels. An online questionnaire survey was conducted between two hospitals in Taiwan from April 1, 2023, to September 30, 2023.

Results A total of 148 healthcare providers completed questionnaires. The reliability of the entire criteria is 0.967. The dominant factor influencing coach competency development among all stakeholders is perception of knowledge.

Discussions From healthcare providers’ viewpoints of different hospitals, strengthening perception of knowledge is an essential key factor. It will improve decision performance, thereby promoting the harmony of the doctor-patient relationship. An accurate and systematic network architecture model can establish a common development path for decision coaches in various hospitals.

Conclusion The present model can aid hospital administrators and healthcare policy directors in understanding the professionalism of decision coaches and identifying common development plans based on different hospital systems’ perspectives. It provides improvement strategies for decision-making coach training.

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